Male Death Registration: Year: 1971 number: 6188
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006188
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Gates, Osborne Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 18, 1883
10. AGE in Years88 Months6 Days11 | hrs or mins
11. Trade or profession Retired Fisherman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Blanche Gates
16. NAME of Father Henry Gates
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maria Sawler
19. BIRTHPLACE Nova Scotia
20. Signature of Informant (illegible)
address Chester, Lunenburg Co., NS
Relationship to deceased
21. Place of burial Blandford, Lunenburg Co., NS
Date of burial 1 November 1971
22. Undertaker Davis Funeral Home, Chester, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 29, 1971
CAUSE OF DEATH
(a) Possible Myocardial Infarction
(b) Carcinoma of Pancreas
(c) Obstructive Jaundice
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498261
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